A client is admitted for psychiatric observation after being ...

[lindiwe]

A client is admitted for psychiatric observation after being arrested for breaking windows in the
  home of his former girlfriend, who had refused to see him.
 
  His history reveals abuse as a child by a
  punitive father, torturing family pets, and one arrest for disorderly conduct. The nursing diagnosis
  that should be considered for development is
  a. risk for injury.
  b. posttrauma syndrome.
  c. disturbed thought processes.
  d. risk for other-directed violence.

Question 2

A client with Alzheimer's disease requires coaching to bathe and dress, wanders aimlessly
  throughout the home, displays mood fluctuations from pleasant to irritable, and becomes easily
  frustrated when performing simple tasks.
 
  Which behavior should the nurse assess as an example of
  cognitive impairment?
  a. Inability to bathe and dress independently
  b. Wandering
  c. Mood lability
  d. Ease of frustration

[31809pancho]

Answer to Question 1

D
The defining characteristics for risk for violence directed at others include a history of being abused
as a child, having committed other violent acts, and demonstrating poor impulse control. The
defining characteristics for the other diagnoses are not present in the scenario.

Answer to Question 2

A
Inability to bathe and dress suggests apraxia, the loss of purposeful movement in the absence of
motor or sensory impairment. The other symptoms are less directly attributable to loss of cortical
function.